<div id="mainbody" class="CWL CWR">		
    <div class="joincarinfobg">
        <div><img src="<?php echo $this->cssPath; ?>web/images/7.jpg" height="100px"/></div>
    </div>
    <div class="kong"></div>
    <div>
        <center>
            <div class="joininfo">
                <h1>司机加盟申请资料填写</h1>
                <table cellpadding="0" cellspacing="0" border="0" class="">
                    <tr>
                        <td><strong><i>*</i>司机姓名:</strong></td>
                        <td><input class="input" id="name" name="name" type="text" placeholder="请输入姓名" maxlength="20"/></td>
                    </tr>
                    <tr>
                        <td><strong><i>*</i>司机电话:</strong></td>
                        <td><input class="input" id="phone" name="phone" type="text" placeholder="请输入电话" maxlength="20"/></td>
                    </tr>
                    <tr>
                        <td><strong><i>*</i>司机驾龄:</strong></td>
                        <td><input class="input" id="drivingAge" name="drivingAge" type="text" placeholder="请输入驾龄" maxlength="3"/></td>
                    </tr>
                    <tr>
                        <td><strong><i>*</i>司机所在地:</strong></td>
                        <td><input class="input" id="address" name="address" type="text" maxlength="100"/></td>
                    </tr>
                    <tr>
                        <td><strong>车型:</strong></td>
                        <td><input class="input" id="vehicleType" name="vehicleType" type="text" maxlength="50"/></td>
                    </tr>
                    <tr>
                        <td><strong>车长:</strong></td>
                        <td><input class="input" id="vehicleLength" name="vehicleLength" type="text" maxlength="50"/></td>
                    </tr>
                    <tr>
                        <td><strong>备注:</strong></td>
                        <td><textarea class="text" name="remark" id="remark"></textarea></td>
                    </tr>
                    <tr style="line-height:40px;"><td colspan="2"><b>提交表单后，客服会在24小时内联系您，如有疑问，请拨打热线电话：4008-********</b></td>
                    </tr>
                </table>
                <input class="button" id="btnJoin" type="submit" value="提交申请"/>			
            </div>
        </center>
    </div>
    <div class="kong"></div>
</div>
<div class="kong"></div>